Individual
DR. JAMIE L GRUSECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
12133 W BELL RD STE 201, SURPRISE, AZ 85378-9408
(623) 583-1737
(623) 583-0607
Mailing address
12133 W BELL RD STE 201, SURPRISE, AZ 85378-9408
(623) 583-1737
(623) 583-0607
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA4117
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992058275
ORGANIZATION NPI
—
Enumeration date
06/16/2010
Last updated
01/22/2024
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